IVAN BOYADZHIEV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054047

License Status

CANCELLED

Business

Title

First Name

IVAN

Last Name

BOYADZHIEV

Business Name

IVAN BOYADZHIEV MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/09/2011